JOSEPHINE N OMLIN - NPI 1467018044 - Marriage & Family Therapist in Stockton, CA

Q: What is Josephine Omlin's NPI number?

The NPI number for Josephine Omlin is 1467018044. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Q: What is Josephine Omlin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Josephine Omlin was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Josephine N Omlin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPHINE N OMLIN (NPI 1467018044) is an individual marriage & family therapist in Stockton, California, licensed in California (144676) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467018044

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJOSEPHINE N OMLIN

Location Address1141 LEVER BLVDStockton, CA 95206-2855

Mailing Address1141 Lever BlvdStockton, CA 95206-2855 · (209) 629-5925

Phone(209) 639-5925

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 19, 2019

Last NPPES UpdateDecember 12, 20245 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1467018044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 144676

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1141 LEVER BLVD, Stockton, CA 95206

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josephine N Omlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486160611

PECOS Enrollment IDI20250723002297

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXIS MONTOYA VILLALPANDO M.S. PSYCHOLOGY

Behavior Analyst